Provider Demographics
NPI:1366240749
Name:LITTLE, BRANDON ALAN (PHARMD)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:ALAN
Last Name:LITTLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BERKLEY BELLE DR APT 1724
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-2063
Mailing Address - Country:US
Mailing Address - Phone:267-275-1439
Mailing Address - Fax:
Practice Address - Street 1:6216 BATTLE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6202
Practice Address - Country:US
Practice Address - Phone:919-779-5651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist